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Communities Of Don Guanella And Divine Providence
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Media, Pennsylvania
NPI 1841317104

Communities Of Don Guanella And Divine Providence is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Communities Of Don Guanella And Divine Providence practices in Media, PA. The NPI Number for Communities Of Don Guanella And Divine Providence is 1841317104 and holds a License No. (Pennsylvania).

The current practice location address for Communities Of Don Guanella And Divine Providence is 850 Pickering Ln, Media, PA and can be reached out via phone at 610-543-5410 and via fax at 610-543-5397.

Location: 850 Pickering Ln, Media, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841317104
Provider Name
Communities Of Don Guanella And Divine Providence
Credential
Provider Entity Type
Organization
Address
850 Pickering Ln, Media, PA, 19064-1239
Phone Number
610-543-5410
Fax Number
610-543-5397
Provider Enumeration Date
03/23/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000031590060 05 PA
institution
Provider Business Practice Location Address Details
Address
850 Pickering Ln
City
Media
State
Pennsylvania
Zip
19063-1317
Phone Number
610-543-5410
Fax Number
610-543-5397
person
Provider Business Mailing Address Details
Address
850 Pickering Ln
City
Media
State
Pennsylvania
Zip
19063-1317
Phone Number
610-543-5410
Fax Number
610-543-5397
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Pennsylvania)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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